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NPI Code Detail

MEDICARE: DR. LESLIE HOLLMAN PHARMD

MEDICARE: DR. LESLIE HOLLMAN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302038162MI

General Provider Information

NPI Number : 1801171863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE HOLLMAN PHARMD
Provider Business Mailing Address
First Line : 1771 HOLTON RD
Second Line :
City : NORTH MUSKEGON
State : MI
Zip : 49445-1452
Country : US
Telephone Number : 231-744-1391
Fax Number :
Provider Business Practice Location Address
First Line : 1771 HOLTON RD
Second Line :
City : NORTH MUSKEGON
State : MI
Zip : 49445-1452
Country : US
Telephone Number : 231-547-1356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 12/20/2022

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Directions to “ DR. LESLIE HOLLMAN PHARMD” Practice Location

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